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JEFFREY S DELLO RUSSO MD NPI 1912011826


NPI Information

NPI: 1912011826
Provider Name: JEFFREY S DELLO RUSSO, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1 NORTH WASHINGTON AVENUE
BERGENFIELD, NJ
ZIP 07621
Phone: (201) 384-7333
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Jeffrey S Dello Russo, MD is an ophthalmology in Bergenfield, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Jeffrey S Dello Russo, MD NPI is 1912011826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 NORTH WASHINGTON AVENUE
BERGENFIELD, NJ
ZIP 07621
Phone: (201) 384-7333
Fax: (201) 384-2564

The enumeration date for this NPI number is 8/18/2006 and was last updated on 5/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology25MA07418400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00409033OTHERNEW JERSEYRAILROAD MEDICARE#
2P3610745OTHERNEW JERSEYOXFORD ID#
3H80603MEDICARE UPIN
412056OTHERNEW JERSEYSPECTERA VISION
5607B71OTHERNEW JERSEYEMPIRE BCBS
63K6533OTHERNEW JERSEYHEALTHNET #
7068164CGSMEDICARE PINNEW JERSEY
80148589OTHERNEW JERSEYGHI PPO
92846451000OTHERNEW JERSEYAMERIHEALTH #
103661080OTHERNEW JERSEYAETNA HMO#
117815607OTHERNEW JERSEYAETNA PPO#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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